PMID- 25902859
OWN - NLM
STAT- MEDLINE
DCOM- 20160902
LR  - 20161126
IS  - 1432-086X (Electronic)
IS  - 0174-1551 (Linking)
VI  - 38
IP  - 6
DP  - 2015 Dec
TI  - Foetal Radiation Dose During Prophylactic Occlusion Balloon Placement for 
      Morbidly Adherent Placenta.
PG  - 1487-93
LID - 10.1007/s00270-015-1102-7 [doi]
AB  - OBJECTIVE: To assess foetal absorbed radiation dose (FAD) during prophylactic 
      occlusion balloon catheter (POBC) placement before surgery for morbidly adherent 
      placenta (MAP). METHODS: Retrospective cohort study of women with MAP undergoing 
      POBC before surgery. Women were divided into two groups. Group 1 treated between 
      2008 and 2011, Group 2 between 2012 and 2014 when fluoroscopy pulse rate reduced 
      from 7.5 to 2 pulses per second. Median and interquartile range (IQR) of dose 
      area product (DAP) and FAD were compared using the Mann-U-Whitney test. FAD was 
      calculated using the PCXMC Monte-Carlo calculation. All procedures were performed 
      using the same equipment (Siemens Axiom Artis dTA) by the same experienced 
      interventional radiology team. RESULTS: Thirty-four women underwent POBC. 16 
      procedures were performed in Group 1 and 18 in Group 2. Median DAP overall was 
      1025.10 microGym(2) (IQR 532.1-1775.3): Group 1, 1713.25 microGym(2) (IQR 1164.5-2274.5) 
      and Group 2, 660.70 microGym(2) (IQR 440.9-1020.9) (p = 0.027). Median FAD overall 
      was 4.65 mGy (IQR 2.7-8.2): Group 1, 6.25 mGy (IQR 4.4-10.6) and Group 2, 3.05 
      mGy (IQR 2.0-5.4) (p = 0.031). CONCLUSIONS: FAD during POBC insertion is low 
      overall. The only change between the two groups was in pulsed fluoroscopy rate 
      which resulted in a significant reduction in FAD. This reinforces the importance 
      of implementation of dose reduction techniques.
FAU - Semeraro, Vittorio
AU  - Semeraro V
AD  - Department of Radiology, St. George's Hospital, Blackshaw Road, London, SW17 0QT, 
      UK. vittoriosemeraro@hotmail.it.
AD  - Department of Radiological Sciences, A.Gemelli Hospital, L.go A. Gemelli 1, 
      00168, Rome, Italy. vittoriosemeraro@hotmail.it.
FAU - Susac, Ana
AU  - Susac A
AD  - Department of Radiology, St. George's Hospital, Blackshaw Road, London, SW17 0QT, 
      UK.
FAU - Morasca, Andrea
AU  - Morasca A
AD  - Department of Physics, A.Gemelli Hospital, L.go A. Gemelli 1, 00168, Rome, Italy.
FAU - D'Antonio, Francesco
AU  - D'Antonio F
AD  - Department of Obstetrics and Gynecology, St. George's Hospital, Blackshaw Road, 
      London, SW17 0QT, UK.
FAU - Belli, Anna-Maria
AU  - Belli AM
AD  - Department of Radiology, St. George's Hospital, Blackshaw Road, London, SW17 0QT, 
      UK.
LA  - eng
PT  - Journal Article
DEP - 20150423
PL  - United States
TA  - Cardiovasc Intervent Radiol
JT  - Cardiovascular and interventional radiology
JID - 8003538
SB  - IM
MH  - Adult
MH  - *Balloon Occlusion
MH  - Cohort Studies
MH  - Female
MH  - Fetus/*diagnostic imaging
MH  - Fluoroscopy
MH  - Humans
MH  - Placenta Diseases/*therapy
MH  - Pregnancy
MH  - *Radiation Dosage
MH  - *Radiology, Interventional
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Fluoroscopy
OT  - Imaging
OT  - Morbidly adherent placenta
OT  - Prophylactic occlusion balloon catheters
OT  - Radiation dosimetry
EDAT- 2015/04/24 06:00
MHDA- 2016/09/03 06:00
CRDT- 2015/04/24 06:00
PHST- 2015/01/30 00:00 [received]
PHST- 2015/03/26 00:00 [accepted]
PHST- 2015/04/24 06:00 [entrez]
PHST- 2015/04/24 06:00 [pubmed]
PHST- 2016/09/03 06:00 [medline]
AID - 10.1007/s00270-015-1102-7 [pii]
AID - 10.1007/s00270-015-1102-7 [doi]
PST - ppublish
SO  - Cardiovasc Intervent Radiol. 2015 Dec;38(6):1487-93. doi: 
      10.1007/s00270-015-1102-7. Epub 2015 Apr 23.